MARILEE CARBALLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

MARILEE

Last Name

CARBALLO

Business Name

MARILEE CARBALLO MD

Original Issue Date

05/17/2021

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

DOWNEY

State

Zip

90241

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023